Ensure you have the following documents when applying online
Fill out our easy online application form
That’s it! Our loan experts will be in touch with you upon receipt.
First Name*
Last Name*
Email Address*
Phone Number*
Date of Birth: *
Address:* Lot, Street, Village
City:
Identification: * Select OneNational IDDriver's LicencePassport
Marital StatusSingleMarriedDivorcedCommon LawOther
Number of Dependants: *
Occupation: *
Name of Current Employer:
Years With Current Employer:
Loan Amount: *
Monthly Salary:
Purpose of Loan Request: Select OneNew CarHome RenovationTravel/VacationPersonal ExpenseNew AppliancesElectronicsOther
Preferred Branch* Select Your Preferred BranchAnna ReginaCamp StreetCorrivertonDiamondD’EdwardLethemLindenNew AmsterdamRosehallTriumphVreed-en-HoopWater Street
Do you have a Republic Bank Account? * YesNo
Do you have any liabilities at any other financial institution? * YesNo
If Yes, please complete the details below:
Outstanding Balances
Monthly Instalments
Credit Card
YesNo
Hire Purchase
Bank Loans
Others
Please upload the following required documents:
Valid form of Identification (ID card, Passport or Driver's licence)
A current job letter
Two recent payslips
Proof of address (issued within the last 8 months)
TIN Certificate
Invoice/Quotation for loan request (if applicable)
We’re happy to assist you if you have any questions. WhatsApp us at 592 600 0087 and an Officer will contact you to help Light Up Your Christmas!